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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47352/psn-pdf
    February 13, 2019 - When is the surgeon too old to operate? February 13, 2019 Span P. New York Times. February 1, 2019. https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the need to assess skills of aging physicians. This newspa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36816/psn-pdf
    August 26, 2011 - Embedding quality improvement and patient safety - the UCLA value analysis experience. August 26, 2011 Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. https://psnet.ahrq.gov/issue/embedding-quality-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37124/psn-pdf
    December 04, 2016 - Mortality as a measure of quality: implications for palliative and end-of-life care. December 4, 2016 Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804. https://psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43675/psn-pdf
    April 18, 2016 - Patient Safety 2015: Final Technical Report. April 18, 2016 Washington, DC: National Quality Forum; 2016. https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report The value of current measures to track patient safety has been called into question. This technical report provides information about a c…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - radiologist follow-up recommendation rates may be due to lack of consensus on best practices even when evaluating
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
    April 01, 2015 - PowerPoint Presentation Spotlight Dissecting the Presentation * This presentation is based on the April 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…
  7. psnet.ahrq.gov/web-mm/listen-family
    April 15, 2015 - Listen to the Family Citation Text: Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
  8. psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
    September 01, 2006 - Anesthesia: A Weighty Issue Citation Text: Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  9. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
    October 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case October 2007 Do Not Disturb! Source and Credits This presentation is based on the October 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49844/psn-pdf
    October 01, 2018 - Diffusion of Responsibility Leads to Danger October 1, 2018 Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49394/psn-pdf
    April 01, 2003 - Premature or Overdue? April 1, 2003 Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/premature-or-overdue The Case A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history was unremarkable, and results of her prenatal …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49788/psn-pdf
    March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37350/psn-pdf
    January 05, 2012 - How safe is my intensive care unit? Methods for monitoring and measurement. January 5, 2012 Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37161/psn-pdf
    January 20, 2010 - Attitudes of health sciences faculty members towards interprofessional teamwork and education. January 20, 2010 Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896. https://psnet.ahrq.gov/issue/attitudes-heal…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37854/psn-pdf
    May 28, 2014 - Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate. May 28, 2014 Armstrong K, Laschinger H, Wong C. Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate. J Nurs Care Qua. 2009;24(1):55-62. doi:10.1097/NCQ.0b013e31818f5506. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44198/psn-pdf
    July 01, 2016 - Safety and diagnostic accuracy of tumor biopsies in children with cancer. July 1, 2016 Interiano RB, Loh AHP, Hinkle N, et al. Safety and diagnostic accuracy of tumor biopsies in children with cancer. Cancer. 2015;121(7):1098-107. doi:10.1002/cncr.29167. https://psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42216/psn-pdf
    June 28, 2013 - Simulation for ward processes of surgical care. June 28, 2013 Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013. https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care This commentary describes one hospital…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35845/psn-pdf
    June 13, 2011 - Reconcilable differences: correcting medication errors at hospital admission and discharge. June 13, 2011 Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6. https://psnet.ahrq.gov/issue/reconcilable-di…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35047/psn-pdf
    November 04, 2015 - Managing patients with identical names in the same ward. November 4, 2015 Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. https://psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward This case rep…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36157/psn-pdf
    September 29, 2010 - Adverse drug event reporting in intensive care units: a survey of current practices. September 29, 2010 Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices. Ann Pharmacother. 2006;40(7-8):1267-73. https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-int…

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